I
HAVE REVIEWED THE FOREGOING INSTRUCTIONS AND
QUESTIONS ON THIS APPLICATION. THE INFORMATION THAT I HAVE SUPPLIED FOR
THIS APPLICATION PROCESS IS TRUE AND COMPLETE TO
THE BEST OF MY KNOWLEDGE. I HAVE NOT KNOWINGLY MISREPRESENTED OR
WITHHELD ANY FACT OR CIRCUMSTANCE AND I
UNDERSTAND THAT MISREPRESENTATION OF ANY OF THE
ABOVE INFORMATION MAY BE CAUSE FOR TERMINATION.

I
ALSO UNDERSTAND THAT IN PROCESSING THIS
APPLICATION, A COMPANY REPRESENTATIVE MAY
REQUEST THAT AN INVESTIGATIVE CONSUMER REPORT BE
PREPARED. I
MAY REQUEST THAT THE COMPANY COMPLETELY AND
ACCURATELY DISCLOSE TO ME THE NATURE AND SCOPE
OF THE INVESTIGATION(S) REQUESTED AND THAT ANY
REQUEST I MAKE MUST BE DONE IN WRITING, TO THE
COMPANY WITHIN A REASONABLE AMOUNT OF TIME AFTER
THIS APPLICATION IS COMPLETED.

I
VOLUNTARILY AND KNOWINGLY AUTHORIZE ALL FORMER
EMPLOYERS, CORPORATIONS, COMPANIES, CREDIT
AGENCIES, EDUCATIONAL INSTITUTIONS, PERSONS, ALL
FEDERAL AND STATE AGENCIES, INCLUDING BUT NOT
LIMITED TO LAW ENFORCEMENT AGENCIES, FEDERAL
HOUSING ADMINISTRATION, AND THE VETERANS ADMINISTRATION TO RELEASE INFORMATION THEY HAVE
ABOUT ME REGARDING MY PRIOR EMPLOYMENT, PERSONAL
HISTORY AND CREDIT STANDING. I VOLUNTARILY AND KNOWINGLY
UNCONDITIONALLY RELEASE THEM FROM ALL LIABILITY
RESULTING THE FURNISHING OF THIS INFORMATION. THIS AUTHORIZATION SHALL BE VALID ONE YEAR FROM THE DATE
SIGNED AND A PHOTOGRAPHIC OR FAXED COPY OF THE
AUTHORIZATION SHALL BE AS VALID AS THE ORIGINAL
ONE.

I
UNDERSTAND THAT EMPLOYMENT AT THIS COMPANY IS
“AT WILL” WHICH MEANS THAT EITHER I OR THE
COMPANY CAN TERMINATE THE EMPLOYMENT
RELATIONSHIP AT ANY TIME, WITH OR WITHOUT PRIOR
NOTICE, AND FOR ANY REASON NOT PROHIBITED BY
STATUTE. ALL
EMPLOYMENT IS CONTINUED ON THAT BASIS. I UNDERSTAND THAT NO SUPERVISOR OR
MANAGER, OTHER THAN AN EXECUTIVE OF THE COMPANY,
HAS ANY AUTHORITY TO ALTER THE FOREGOING.

BY
EXECUTING AND SUBMITTING THIS APPLICATION, I
CERTIFY THAT I AM GENUINELY INTERESTED IN
WORKING IN THE POSITION FOR WHICH I APPLIED AND
AM MAKING THIS APPLICATION FOR NO OTHER PURPOSE.